| A Perfect Smile LLC | |
|
6200 S Mcclintock Dr Ste 111 Tempe AZ 85283-3449 | |
| (602) 485-1588 | |
| Not Available |
| Full Name | A Perfect Smile LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6200 S Mcclintock Dr Ste 111, Tempe, Arizona |
| Authorized Official Name and Position | Marvin B Jackson (OWNER) |
| Authorized Official Contact | 4356372100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Perfect Smile LLC 6200 S Mcclintock Dr Ste 111 Tempe AZ 85283-3449 Ph: (602) 485-1588 | A Perfect Smile LLC 6200 S Mcclintock Dr Ste 111 Tempe AZ 85283-3449 Ph: (602) 485-1588 |
| NPI Number | 1760084255 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 10/01/2025 |
| Certification Date | 10/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760084255 | NPI | - | NPPES |
| 586868 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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